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Lisa Olivo
Point of Service in Wilmington, California
NPI 1669652939

Lisa Olivo is a Point of Service based in Pomona, CA. Lisa Olivo practices in Wilmington, CA. The NPI Number for Lisa Olivo is 1669652939 and holds a License No. (California).

The current practice location address for Lisa Olivo is 117 E Harry Bridges Blvd, Wilmington, CA and can be reached out via phone at 310-549-8383 and via fax at 310-549-9305.

Location: 117 E Harry Bridges Blvd, Wilmington, CA, 91768-2323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669652939
Provider Name
Lisa Olivo
Credential
Provider Entity Type
Organization
Address
117 E Harry Bridges Blvd, Wilmington, CA, 91768-2323
Phone Number
310-549-8383
Fax Number
310-549-9305
Provider Enumeration Date
11/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
117 E Harry Bridges Blvd
City
Wilmington
State
California
Zip
90744-5825
Phone Number
310-549-8383
Fax Number
310-549-9305
person
Provider Business Mailing Address Details
Address
117 E Harry Bridges Blvd
City
Wilmington
State
California
Zip
90744-5825
Phone Number
310-549-8383
Fax Number
310-549-9305
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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